孕期锌缺乏及对妊娠结局的影响OACSTPCD
Zinc deficiency during pregnancy and its effect on pregnancy outcome
孕期锌缺乏率较高,迄今研究发现其与自发性早产、复发性流产、低出生体重、小胎龄儿、子痫前期和妊娠期糖尿病等不良妊娠结局存在显著关联.然而,目前缺乏一种特异、灵敏、便于采集和检测的生物标志物用于临床评价锌的营养状况,所幸最新研究发现金属硫蛋白和油酸与二羟甲基γ-亚麻酸的比值(LA/DGLA)具有潜在应用价值.本文重点对孕期锌缺乏与不良妊娠结局、潜在锌生物标志物及锌缺乏治疗的国内外研究进展进行总结与探讨,以期为围产期营养指导提供思路.
Zinc deficiency during pregnancy is common and has been significantly associated with adverse pregnancy outcomes such as spontaneous preterm birth(PTB),recurrent abortion(RA),low birth weight(LBW),small-for-gestational-age infant(SGA),preeclampsia(PE),and gestational diabetes mellitus(GDM).Unfortunately,there is no specific biomarkers which are sensitive,easy-to-collect and detect available for the clini-cal evaluation of zinc nutritional status.However,recent studies have identified metallothionein and the ratio of oleic acid to dihydroxymethyl gamma-linolenic acid(LA/DGLA)as potentially candidates of biomarkers.This article focuses on summarizing and discussing the progress of domestic and international researches on zinc deficiency dur-ing pregnancy and adverse pregnancy outcomes,potential zinc biomarkers,and zinc deficiency treatments,aiming at providing ideas for perinatal nutritional guidance.
李运龙;李蕊;张玉萍;王瑞;刘燕萍
中国医学科学院 北京协和医学院 北京协和医院 临床营养科,北京 100730
预防医学
锌缺乏锌生物标志物妊娠结局
zinc deficiencyzinc biomarkerspregnancy outcome
《基础医学与临床》 2024 (004)
422-427 / 6
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